Medical Claims Processor

1 day ago


Taguig, National Capital Region, Philippines beBeeSpecialist Full time $60,000 - $80,000
Medical Billing Specialist Role

The Medical Billing Specialist plays a pivotal role in the revenue cycle process. This position requires thorough monitoring of medical claims, investigating rejections and denials, and maintaining accurate documentation of related account activities.

This specialist is responsible for posting adjustments and managing collections from various payers, including Medicare, Medicaid, commercial insurance, and Workers' Compensation. Strong knowledge of eligibility requirements and payment methodologies is essential.

Responsibilities
  • Verify patient eligibility and benefits to ensure accurate coverage.
  • Review and submit claims in a timely and compliant manner.
  • Obtain prior authorizations to support smooth claim approvals.
  • Monitor claim status and conduct follow-up to ensure prompt payment.
  • Research and resolve claim rejections and denials.
  • Generate and submit patient statements.
  • Document all account activities accurately.
  • Post manual payments and manage collections from multiple payers.
Requirements
  • At least 2 years of experience in revenue cycle processes.
  • Strong understanding of billing systems and compliance with regulations.
  • Excellent customer service skills and ability to work collaboratively with team members and healthcare providers.
  • Ability to function in a fast-paced environment and handle occasional periods of high pressure.
Benefits
  • Permanent remote work option.
  • Mondays to Fridays, 10 PM to 7 AM Manila Time.
  • *Following US holidays.


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